CHY VA - ACM Sampling for AHU 1 23 project - 10.23.20.pdf

Asbestos & Technical Services, Inc P.O. Box 2574

Cheyenne, WY 82003

307-214-0904

Asbestos Inspection Report

October 28, 2020

Robert Hiller C/O Owner

Project: 2360 E Pershing Blvd

Cheyenne, WY 82003

Dear Robert Hiller C/O Owner, On October 23, 2020 ATS performed an asbestos inspection for identified areas of the Cheyenne Veterans Affairs Medical

Center located at 2360 E. Pershing Blvd., Cheyenne, Wyoming. The purpose of the survey is to identify asbestos containing material (ACM) using nondestructive sampling protocols.

Inspection, sampling and analytical procedures were performed in general accordance with the Environmental Protection

Agency’s (EPA) interpretations, and guidelines of the Asbestos Hazardous Emergency Response Act (AHERA).

Asbestos containing materials as defined by the Occupational Safety and Health Administration (OSHA), the Environmental

Protection Agency and the State of Wyoming are material with asbestos concentration greater than 1% (>1%) by volume.

However, OSHA governs asbestos exposures to employees above the Permissible Exposure Limit regardless of asbestos containing material concentration.

No inspection can eliminate the uncertainty regarding the presence of ACM. ATS’s level of diligence and investigative procedures are intended to reduce, but not eliminate potential uncertainty regarding the presence of ACM. The determinations in this report should not be constructed as a guarantee that all ACM present in the subject property has been included in this report.

The inspection was performed in a manner consistent with the level of care and expertise exercised by members of the asbestos inspection and assessment profession. Those entities and persons involved with the inspection and generation of this report do not imply or guarantee that all potential ACM on or in the building has been identified and sampled.

Historically, asbestos has been added as a component to over 3,000 materials and products produced in the United States.

The inspection was intended to identify those accessible materials that were reasonable suspect and that were most likely to contain asbestos in quantities subject to regulation, based on existing industry and regulatory standards.

If suspect material is discovered during renovation or demolition, work needs to be stopped and suspect material needs to be tested prior to proceeding.

Total samples taken: 7

FIELD NOTES AND SAMPLE LOCATIONS:

Sample #/Description Location:

• 1023202360 – 1 – 12”x12” vinyl floor tile + yellow mastic beneath carpet RM BL-55 (Prosthetics)

• 1023202360 – 2 – Grey cove base + glue mastic RM BL-55 (Prosthetics)

• 1023202360 – 3 – Plaster type fire proofing EZ EF-1 (Penthouse)

• 1023202360 – 4 – Green duct sealant at base of mechanical EZ EF-1 (Penthouse)

• 1023202360 – 5 – Nonfriable white sealant on fiberglass, plenum RM B1-03C (1st Floor)

• 1023202360 – 6 – Tan + grey duct sealant on metal, plenum RM B1-03C (1st Floor)

• 1023202360 – 7 – Red/Brown floor tile + black mastic RM B1-140 (1st Floor)

FINDINGS:

No asbestos was detected in these samples. Please refer to the attached lab results and contact ATS if you have any questions.

Sincerely, Nate Challenger

Project Manager

Asbestos & Technical Services, Inc

307-214-0904

Customer Project:

Reference #: Date: 10/27/20

Analysis and Method

Discussion

Qualifications

CA Labs

Dedicated to QualityDedicated to QualityDedicated to QualityDedicated to Quality

Crisp Analytical, L.L.C.

1929 Old Denton Road

Carrollton, TX 75006

Phone 972-242-2754

Fax 972-242-2798

CA Labs, L.L.C.

12232 Industriplex, Suite 32

Baton Rouge, LA 70809

Phone 225-751-5632

Fax 225-751-5634

Materials Characterization - Bulk Asbestos Analysis Laboratory Analysis Report - Polarized Light

Asbestos & Technical Services

P.O. Box 2574

Cheyenne, WY 82003 1023202360 2360 E Pershing Blvd

CAL20107821RL

Summary of polarized light microscopy (PLM / Stereomicroscopy bulk asbestos analysis) using the methods described in 40CFR Part 763

Appendix E to Subpart E (Interim and EPA 600 / R-93 / 116 (Improved). The sample is first viewed with the aid of a stereomicroscope. Numerous liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed. Calibrated liquid refractive oils are used as liquid mouting medium. These oils are used for identification (dispersion staining). A calibrated visual estimation is reported, should any asbestiform mineral be present. Other techniques such as acid washing are used in conjugation with refractive oils for detection of smaller quantities of asbestos. All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for regulated asbestos. Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards where analyst and laboratory accuracy are measured. As little as 0.001% asbestos can be detected in favorable samples, while detection in unfavorable samples may approach the detection limit of 0.50% (well above the laboratory definition of trace).

Vermiculite containing samples may contain trace amounts of actinolite/tremolite. When not detected by PLM, these samples should be analyzed using TEM methods and / or water separation techniques. Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report.

Fibrous talc containing samples may contain a regulated asbestos fiber known as anthophyllite. Under certain conditions the same fiber may actually contain both talc and anthophyllite (a phenomenon called intergrowth). Again, TEM detection methods are recommended. CA Labs PLM report comments will denote suspected amounts of asbestiform anthophyllite with talc, where further analysis is recommended.

Some samples (floor tiles, surfacings, etc.) may contain fibers too small to be detectable by PLM analysis and should be analyzed by TEM bulk protocols.

A "trace asbestos" will be reported if the analyst observes far less than 1% asbestos. CA Labs defines "trace asbestos" as a few fibers detected by the analyst in several preparations and will indicate as such under these circumstances.

Since allowable variation in quantification of samples close to 1% is high, <1% may be reported. Such results are ideal for point counting, and the technique is mandatory for friable samples (NESHAP, Nov. 1990 and clarification letter 8 May 1991) under 1% percent asbestos or "trace asbestos".

In order to make all initial PLM reports issued from CA Labs NESHAP compliant, all <1% asbestos results (except floor tiles) will be point counted at no additional charge.

CA Labs is accredited by the National Voluntary Accreditation Program (NVLAP) for selected test methods for airborne fiber analysis (TEM), and for bulk asbestos fiber analysis (PLM). CA Labs is also accredited by AIHA LAP, LLC. in the PLM asbestos field of testing for Industrial Hygiene. All analysts have completed college courses or hold a degree in a natural science (geology, biology, or environmental science). Recognition by a state professional board in one these disciplines is preferred, but not required. Extensive in-house training programs are used to augment the educational background of the analyst. The Laboratory Director and Quality Manager have received supplemental McCrone Research training for asbestos identification. Analysis performed at Crisp Analytical Labs, LLC 1929 Old Denton Road Carrollton, TX 75006

Dallas NVLAP Lab Code 200349-0 TEM/PLM TCEQ# T104704513-15-3 TDH 30-0235

AIHA LAP, LLC Laboratory #102929

Labs

A

C

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Customer Project: 1023202360 2360 E Pershing Blvd CA Labs Project #: CAL20107821RL

No Asbestos Detected.

Glossary of abbreviations (non-asbestos fibers and non-fibrous minerals):

CA Labs

Dedicated to QualityDedicated to QualityDedicated to QualityDedicated to Quality

Crisp Analytical, L.L.C.

1929 Old Denton Road

Carrollton, TX 75006

Phone 972-242-2754

Fax 972-242-2798

CA Labs, L.L.C.

12232 Industriplex, Suite 32

Baton Rouge, LA 70809

Phone 225-751-5632

Fax 225-751-5634

Overview of Project Sample Material Containing Asbestos

Laboratory

Sample ID

Sample # Layer # Analysts Physical Description of

Subsample

Asbestos type / calibrated visual estimate percent

List of Affected

Building Material

Types

Dallas NVLAP Lab Code 200349-0 TEM/PLM TCEQ# T104704513-15-3 TDH 30-0235

AIHA LAP, LLC Laboratory #102929 ca - carbonate gypsum - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot - other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastinite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay)

This report relates to the items tested. This report is not to be used by the customer to claim product certification, approval or endorsement by NVLAP, NIST, AIHA LAP, LLC, or any other agency of the federal government. This report may not be reproduced except in full without written permission from CA Labs. These results are submitted pursuant to CA Labs' current terms and sale, condition of sale, including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted. Unless notified in writing to return the samples covered by this report, CA Labs will store the samples for a period of ninety (90) days before discarding. A shipping or handling fee may be assessed for the return of any samples.

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Customer Info: Attn: Customer Project:

Date:

Phone #

Fax #

Alec Treviño Senior Analyst

Analyst Julio Robles

CA Labs

Dedicated to QualityDedicated to QualityDedicated to QualityDedicated to Quality

Crisp Analytical, L.L.C.

1929 Old Denton Road

Carrollton, TX 75006

Phone 972-242-2754

Fax 972-242-2798

CA Labs, L.L.C.

12232 Industriplex, Suite 32

Baton Rouge, LA 70809

Phone 225-751-5632

Fax 225-751-5634

Polarized Light Asbestiform Materials Characterization

CA Labs Project #:

Asbestos & Technical Services 1023202360 2360 E Pershing

Blvd

CAL20107821RL

P.O. Box 2574

Cheyenne, WY 82003 Turnaround Time: 10/27/2020

2 Days Samples Rec'd: 10/26/20 10:30am

307-214-0904 Date Of Sampling: 10/23/2020

Purchase Order #:

Laboratory

Sample ID

Sample # Com ment

Layer

Analysts Physical Description of

Subsample

Homo-geneo us

(Y/N)

Asbestos type / calibrated visual estimate percent

Non-asbestos fiber type / percent

Non-fibrous type / percent

91483

102320236

0-1 1-1 Floor tile/ white floor tile y None Detected 100% qu,ca

91483 1-2 tan mastic y None Detected 100% gy,bi

91484

102320236

0-2 2-1 Cove base/ black baseboard y None Detected 100% gy,ma

91484 2-2 tan mastic y None Detected 100% gy,bi

91485

102320236

0-3 3-1

100% qu,bi

Fireproofing/ tan fireproofing y None Detected 4% ce

5-1

96% qu,ve,ca

91486

102320236

0-4 4-1 Sealant/ green sealant y None Detected

60% qu,bi,ot

Dallas NVLAP Lab Code 200349-0 TEM/PLM TCEQ# T104704513-15-3 TDH 30-0235

AIHA LAP, LLC Laboratory #102929 Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116). All samples received in good condition unless noted.

Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.

Sealant/ tan surfacing with foil and paper n None Detected 40% ce91487

102320236

0-5

Approved Signatories:

Technical Manager ca - carbonate gy - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastonite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay)

Tanner Rasmussen

1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers

2. Fire Damage no significant fiber damages effecting fibrous percentages

3. Actinolite in association with Vermiculite

4. Layer not analyzed - attached to previous positive layer and contamination is suspected

5. Not enough sample to analyze

6. Anthophyllite in association with Fibrous Talc

7. Contamination suspected from other building materials

8. Favorable scenario for water separation on vermiculite for possible analysis by another method

9. < 1% Result point counted positive

10. TEM analysis suggested

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Customer Info: Attn: Customer Project:

Date:

Phone #

Fax #

Alec Treviño Senior Analyst

Analyst Julio Robles

CA Labs

Dedicated to QualityDedicated to QualityDedicated to QualityDedicated to Quality

Crisp Analytical, L.L.C.

1929 Old Denton Road

Carrollton, TX 75006

Phone 972-242-2754

Fax 972-242-2798

CA Labs, L.L.C.

12232 Industriplex, Suite 32

Baton Rouge, LA 70809

Phone 225-751-5632

Fax 225-751-5634

Polarized Light Asbestiform Materials Characterization

CA Labs Project #:

Asbestos & Technical Services 1023202360 2360 E Pershing

Blvd

CAL20107821RL

P.O. Box 2574

Cheyenne, WY 82003 Turnaround Time: 10/27/2020

2 Days Samples Rec'd: 10/26/20 10:30am

307-214-0904 Date Of Sampling: 10/23/2020

Purchase Order #:

Laboratory

Sample ID

Sample # Com ment

Layer

Analysts Physical Description of

Subsample

Homo-geneo us

(Y/N)

Asbestos type / calibrated visual estimate percent

Non-asbestos fiber type / percent

Non-fibrous type / percent

91487 5-2 white compound y None Detected 100% qu,pe,ca

91488

102320236

0-6 6-1 Sealant/ tan and gray sealant n None Detected 100% qu,bi

91489

102320236

0-7 7-1 Floor tile/ red floor tile y None Detected 100% qu,ca

91489 7-2 black mastic y None Detected 100% gy,bi

Dallas NVLAP Lab Code 200349-0 TEM/PLM TCEQ# T104704513-15-3 TDH 30-0235

AIHA LAP, LLC Laboratory #102929 Analysis Method: Interim (40CFR Part 763 Appendix E to Subpart E) / Improved (EPA-600 / R-93/116). All samples received in good condition unless noted.

Preparation Method: HCL acid washing for carbonate based samples, chemical reduction for organically bound components, oil immersion for identification of asbestos types by dispersion attaining / becke line method.

ca - carbonate gy - gypsum bi - binder or - organic ma - matrix mi - mica ve - vermiculite ot -other pe - perlite qu - quartz fg - fiberglass mw - mineral wool wo - wollastonite ta - talc sy - synthetic ce - cellulose br - brucite ka - kaolin (clay) pa - palygorskite (clay) Approved Signatories:

Technical Manager

Tanner Rasmussen

1. Fire Damage significant fiber damage - reported percentages reflect unaltered fibers

2. Fire Damage no significant fiber damages effecting fibrous percentages

3. Actinolite in association with Vermiculite

4. Layer not analyzed - attached to previous positive layer and contamination is suspected

5. Not enough sample to analyze

6. Anthophyllite in association with Fibrous Talc

7. Contamination suspected from other building materials

8. Favorable scenario for water separation on vermiculite for possible analysis by another method

9. < 1% Result point counted positive

10. TEM analysis suggested

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